HomeMy Public PortalAbout6145 AVON AVE_Building_11/27/1961_Covered patio 78A838A CE4803 a 83 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER ADDRESS I
BUILDING AND SAFETY DIVISION LOCALITY ti 41,
JOHN A LAMBIE COUNTY ENGINEER NEAREST Q
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST .0 4
DISTRICT NO I GRO P TYPE CESSED B
FOR APPLICANT TO FILL IN CONST
BUILDING r STATISTICAL CLASSIFICATION SFS ER MAP
ADDRESS � v Com,( K �G. f
CLASS NO DWELL UNITS CJ I
LOT NO I BLOCK WATER
CERTIFICATE NOT REQUIRED 1:1RECEIVED
TRACT MAP D�n // HIGHWAY
11 NO OF BLDGS NO / Y' (CIRCLE) STATE MAJOR SECOND OCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF A CONDITIONS
EXISTING BLDG
�--i TEL
OWNER BUILDING EXIST
YARD HWY STREET NAME
, / SETBACK WIDTH
ADDRESS O I/ FRONT }C
ARCHITECT OR TEL P L �C..EI V
ENGINEER NO SIDE
P L
ADDRESS 6 + // /�'/ a
TEL l !9 0
CONTRACTOR 0&14 NO _ V
ADDRESS v 0
DESCRIPTION OF WORKLu
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V
CA
NEW ADD ALTER REPAIR DEMOLISH
SQ FT AtNO OF NO OF r
SIZE STORIES / FAMILIES y�
USE OF ^
STRUCTURE c
PAD 0
I
SIGNATURE OF
APPLICANT y /
VALUATION $ �o o7 Ute_
APPROVALS DATE INSPECTOR S SIGNATURE
PC PIVIT '44 41 FOUNDATION LOCATION
F E $ FEE $ '_ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPEN ATION INSURA
LATH EXT
SIGNATURE F 0 O lam(1 HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
s
� PLAN CHECK VALIDATION CK mo CASH JOHN F LEWIS PRINCIPAL STRUCTURAL E R
PERMIT VALIDATION CK M O CASH
PLAN
6 2 6 21.0E+r�V 2 7 1 A 800-
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